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Retired NBME 24 Answers

nbme24/Block 3/Question#31 (reveal difficulty score)
A 65-year-old man is brought to the emergency ...
Systemic vascular resistance: increased;
Pulmonary vascular resistance: decreased;
Pulmonary capillary wedge pressure: increased 🔍 / 📺 / 🌳 / 📖
tags:

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 +21  upvote downvote
submitted by ∗hungrybox(1277)
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I aelyrl dtid’n duseadntrn ihst tnqeuiso even ratfe iaerndg all teh ersnwsa ereh os I mdeieal Dr. nadbleKu het( !te)erxp

ee’rsH whta he id:as

iTsh si a saec fo ceaut atreh iafeulr willngfoo na tueac csmciieh nvete TS( toevinlea ni arnoirte lda)e.s SVR cnsiasree bseauce of rnualruohemo nttoi,aciva ihhcw lpehs to aiaimnnt .PB CPPW ncsirseae seuebca ectau HF ssueca lobod ot ackb pu oitn teh mnrauopyl onicaiucr.lt daenescIr ayroumnlp doobl vumloe scseua lla the naopyulrm psseruers to .ensceira RVP SECREDASE eesbcau het amnuplory elusvartauc ash a yrev ghhi cmce,oailpn nad erhrtefoe spiealvys idstsned ni oerepsns to eanreics o.emuvl Tsih vsapsei dnissosnie aderecsse hte PR.V

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motherhen  I thtoghu in aiidrnccgoe hsoc,k CWPP nca eb riesdecan or sedardcee dpnnegedi no if eth lodbo is cngabki up ni eht glusn FL()H ro oydb HF.)(R aCn onoesem yifralc who ew wnok whihc is heappgnni re?eh +1
motherhen  PWC*P +
jsanmiguel415  yhTe say i'ts na "trioearn MEIS"T hichw ot me atmen ,3V 4V aak D,AL hwhci lpissupe teh elft rictelnev os sncedarie .WPPC If PPWC asw edeaesdrc ti lodwu nmae rgiht vtinrlcee is edtdurips hiwch is mreo CAR dan louwd eb ,II I,I VAF or an iiorrnfe adels +4



 +14  upvote downvote
submitted by ∗yb_26(316)
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My peislm dandruegsnnti is htta t'sp taehr iyotractlintc is erdcaesed due to MI t&=g; thera ca'nt umpp a lto of blodo &tg=; eeaindsrc pcukba flwo inot nruaopyml rstevuauacl =tg&; daenesric .WPPC

Mroe odlbo ni pynmaorlu sureltvcuaa &;=gt yhet lwli aetidl in eodrr ot just epke all ehtes oodlb gt=&; dreeecdas uoryanlmp racvsula raecenstsi

drsaeeDce rcdaaic outtup g&=t; ihlrerepap srcovoncitnasoti => cneadersi tecssiym crlausva ariseetcsn

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susyars  ehT ouinseqt ysas “TS ieatlveon ni het tnraoeir dl“sae s,o in eoms awy I asw niktnihg of eth tmos iornetra ptra fo het erhta wchih si hte thigr enrtc,lvei adn otn hte letf eno. +4
makinallkindzofgainz  orerAtin MTSIE = ST tnaleiveos ni 3,V 4V hichw si ildepusp ymltso by eth .DLA VR si oytlsm uispdlep yb hte RC,A icwhh owuld hwso pu no na KGE wthi echmciis sgheanc in I,I ,III and avF +7
qiss  twB radcisene PPWC siicdeatn rsedacine lodbo in the eflt ,mtuari otn isyensrleac aerdsince ooldb ni het ulmnpayro taceaulursv ese heer. +



 +6  upvote downvote
submitted by ∗keycompany(351)
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deswAnre ym wno nuqtioe.s rnaIdeecs tessrs rfmo a SEIMT illw vaiactet the syeimphactt nvuesor ssytme -- moarPnuly ia.oidnaltsov

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pathogen7  stuJ to da,d RCHCINO ahret ulrfaei is a ucsea of plmroyuna nn.epsteiohry oS in teh eutca ni,segtt anolrpyum meade elasd to rsdeceead V,PR iwleh in teh cohnirc stnetig, ti nca aeld to ecrdieans PV,R I n?thik +
hungrybox  Thsi tn'edos kaem n.ssee aiActintvg the mesaytihcpt onrsuve etyssm dowul asuec lbntioadhoricno a(vi β)2 ubt ist' uenarlc to me trhehwe it wdulo rnosicctt het dbolo sseevls va(i -1α) or dteail etmh (iva ).β2 +1



 +2  upvote downvote
submitted by ∗mousie(272)
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fi uyro CO llasf ... nwlto'ud ahtt useac ooaciovcssnrtnit ni eth ungl actuasrl?uev ahyopix nduecid invosrtnoistc?aco

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ug123  My atke no ih-sis-tH-- pnrioateissr ear t2-nht2i-mah/ihg- ilwl acseu 02c s-ut-sowo-ha tylcaaul lgnu has ghih opyg-ynnmlaxu--oer laaotdon.visi tnoD wnko if its .igthr +5
usmleuser007  My tennsdngruaid is htat hte opnaruylm tlurccoaiin ancsheg reyv liettl ni rmtse fo na aetcu .IM tI si bc/ arpmloyun loiainucrtc sah a lot omer omor ot lifl ihtw lobod chmu klie eth esepln ni tmesr of lbood nmauo.cciluat tihW rihghe luvemo of obodl in nmpulyaor naiucictolr, roem odbol sslevse are bael to eb uceirdetr ilescapyl eht xape. Whit omre reuretdci odlbo vsleess = eudrdec usspreer td/ toniialcucr in lelapral +



 +1  upvote downvote
submitted by ∗usmleuser007(464)
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yM usedngtdnianr is thta eth lonpyarum niorcuiaclt csaeghn ryve ltteil in setrm fo na uctea .IM

tI si /bc ruponlyma aloctrinciu ahs a otl mroe orom to fill whit lodbo cmuh elki eht neeslp ni tsrem of lbood iualoancu.tmc

Whit hhgier uevlmo of bolod in lanoyurpm ulncciortia, rmoe dolbo lsvsees ear able to eb rirteecud lscyaepli teh x.pae

thiW reom terurdiec dlboo selessv = edcuedr rsurspee /dt irnlccautoi ni llepalra

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sheska  ,yse ni sdaobr dna dyonbe eh enlxpia .sith eelralvotrax veses=ls aiertsre dna evins, arlavnoteiarl aeaspllsire.lces=siv ipclsarieal lliw eicneras ntscesaeri aceubes wlil avhe emro doobl form acupkb of eht tfel amiurt and illw egt udegsmd t=;&g siaerenc WPCP teasrire adn insve itwh emor olobd ilwl peno omre and sthu ecdeears uonymrlpa alrcvaus cieats.enrs +



 +1  upvote downvote
submitted by diplococci(1)
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I swa udcnefso seeaucb UW 92801 ssay oyamnrulp etrayr ciysstol ueerrssp lwil eb nicdarees ot ntiimnaa arfrodw meoentvm fo .dbolo Hwo odes shit nto elad ot pnlrouaym auvclars csaneirest nebgi ndesiar?ec

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boostcap23  uPsreesr st'noed essarilcnye lqaeu aesdnecir csruaalv sstc.rieena myolrPnau acestrsnie eulgrainot ynmila ersasncei ni easra fo xphi,yoa nad cesreeads ni yelldwate-nxgeo era'sa to ndse obdol ot ellw intteevdla a,srae ngihton ot od ithw an atuce .IM nI acft ni IM rhete is tlonsaiavdio of paicla iaprlaselic dna the QV/ itrao iwll parcpaho 1 to eatdccamomo het aetrx o.bldo In sthi ttian,pe yuo cna see shi tcsmisye ldobo rpseruse is wlo tye hsi imcysset rsavlcau cniatssere is hghi du(e to ehpisacmtyt oiistnncotrc fo seevssl in srpesone ot olw CO). I sjut oughhtt of it ekil owh ni nloamr ergtnis saett tltnavoinei is sawted at hte expa os ni a uolvme ordeloedva tseat that rxaet obldo doluc og up ot eht .aexp +1



 +1  upvote downvote
submitted by ∗keycompany(351)
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anC odobmyes how ustrnadedn why RPV sceaeerds with a -fSeeLdidt tncfrai pleaes gentnlihe me. I lwdou aols itraeapepc it if yuo ucodl rateel it ot hitgr edids atrhe elruaif oto e..i( who doluw ti ae.ghn)c

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sajaqua1  I elvbeie taht pykyocmasn'e wneasr smeco het o.estscl nI na ,IM rosnecid ti sa igcciordnea s.ohck Teh reath si a upmp, nad ti si ainfilg to emvo lobod tuo fo the erhta nad onit asareuc.luvt siTh si ywh PCWP i.rcnsaese uBceesa of iesiitnnffcu pott,uu eht dybo has a cmypasiteth osrs.nepe ehT nmthcaeleaocsi hten ueasc ssiinacotvtonroc in plrhireape aaeusvtrclu to peek ooldb erepusrs pu adn niencotu lfo,w dgenail to iedarcsne R.SV nlieh,eMwa het eahtsmypict ersnosep easucs tvaaiolnosid in eth lnsgu; tihs owldu be na aipptaoerpr ouuyaotarrlteg oesren,ps ebcuesa eht yobd is ygtnir to ekpe up hte lwfo of nxogye urtotgohuh hte yess.tm Tshi desreceas 55w .h.iwmCept/8wmp/b.ohP:rncs/.ici/gtnvRl7 ./t1slP c 5M4/aVn sI a epyttr dgoo lctaeir on this. fO ruceso teh ndnbgii of eltchtcaaemsion asnehgc ndeegdnpi on aotstanuir dna eht sernopes si ont lceftepyr esood.drtun +13
usmleuser007  My gdtrneunaidsn si htat hte pyurmalon ciiurolatnc gnsheac yver teltli ni stmre fo an teuac M.I It si /bc ranplomyu aoricnciult ahs a otl orme moro ot llfi twhi ooldb hucm leik eth nsplee ni rmtes of dobol ucomat aiuihnl.cWt egirhh vlomeu of dloob in rmuonalyp oatn,uricilc meor odlob lsseesv ear bael ot be rdcreutie eslcilayp the xpe.a ithW meor detriecru obold esvlses = derecdu eepusrsr td/ lictracunoi in .raalelpl +2



 +0  upvote downvote
submitted by ∗kevintkim4(4)
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oirAtren dael MI giedaln ot gracceidion cshko htiw rdeacdsee LV yclttroacii.nt

RVS esisr ni anieodgiccr schok sa spcnymreotoa speseonr to olw .OC PPCW eissr bseueca in rieoantr IM het'ers sededecar lttoiyrnacitc dan ldobo akcsb up niot .LA

aTht eesalv neo rwanes opiotn fo ghhi RVS and hihg PCPW and yuo 'notd enev ahev ot tnihk baotu PRV ;)

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 +0  upvote downvote
submitted by ∗jurrutia(47)
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aW'tsn esru aobut PVR, ubt VSR adn PWCP fed og up. tahT olny levase 1 rwns.ae

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 -2  upvote downvote
submitted by louisville(12)
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nwres:A RVS ;cdenesair RVP scaeddeer; WPPC as.erndeic

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kcyanide101  PASLEE TOE:N If isth nsieotqu asw an IM in hte R,AC hte WPCP si eudr.cde +



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